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Spouse (or spouse and children) of a deceased pensioner - PSS

Spouse (or spouse and children) of a deceased pensioner - PSS

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<strong>PSS</strong><br />

Public Sect<strong>or</strong> Superannuation Scheme<br />

B. Full-time study details – f<strong>or</strong> child over age 16<br />

Name <strong>of</strong> student<br />

Given Name(s)<br />

Surname<br />

Name <strong>of</strong> school/<br />

college/university<br />

Address <strong>of</strong> school/<br />

college/university<br />

Suburb State Post code<br />

Type <strong>of</strong> course<br />

(e.g. HSC, degree)<br />

Duration <strong>of</strong> course months years<br />

Signature <strong>of</strong> Principal/Registrar<br />

I certify that this student is undertaking full-time study.<br />

Signature<br />

Date signed<br />

D D M M Y Y Y Y<br />

/ /<br />

Stamp <strong>of</strong> school/<br />

college/university<br />

C. Full-time study details – f<strong>or</strong> child over age 16<br />

Name <strong>of</strong> student<br />

Given Name(s)<br />

Surname<br />

Name <strong>of</strong> school/<br />

college/university<br />

Address <strong>of</strong> school/<br />

college/university<br />

Suburb State Post code<br />

Type <strong>of</strong> course<br />

(e.g. HSC, degree)<br />

Duration <strong>of</strong> course months years<br />

Signature <strong>of</strong> Principal/Registrar<br />

I certify that this student is undertaking full-time study.<br />

Signature<br />

Date signed<br />

D D M M Y Y Y Y<br />

/ /<br />

Stamp <strong>of</strong> school/<br />

college/university<br />

S2SP-<strong>PSS</strong><br />

10/09<br />

10 <strong>of</strong> 13

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